NCLEX · Delegation and Assignment

A registered nurse is supervising a licensed practical nurse (LPN/LVN). Which task is appropriate to assign to the LPN?

Correct answer

Administering oral and certain other medications to a stable client and reinforcing teaching

  1. A Developing the initial plan of care
  2. B Performing the initial admission assessment
  3. C Administering IV push medications (in most facilities)
  4. D Administering oral and certain other medications to a stable client and reinforcing teaching

Why this is the answer

Appropriate tasks for an LPN/LVN (within their scope, varies by state/facility): administering ORAL and many other MEDICATIONS to STABLE clients; performing routine, stable procedures; REINFORCING teaching the RN initiated; monitoring stable clients; wound care; collecting data (contributing to assessment). NCLEX safe care/delegation. The RN retains: the INITIAL/comprehensive ASSESSMENT, developing/evaluating the PLAN OF CARE, initial client TEACHING, unstable/complex clients, and (in most facilities) IV PUSH medications and blood administration. LPNs work under RN supervision. The general rule: RN does the nursing process steps requiring judgment (assess, plan, evaluate, teach); LPN reinforces and implements stable care. Knowing the RN-vs-LPN scope distinction is a heavily tested NCLEX assignment concept.
Source: NCLEX Safe Care — RN/LPN Delegation

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About this topic: Delegation and Assignment

Delegation and assignment questions cover the five rights of delegation, what can be delegated to LPNs and assistive personnel, what cannot, and how to supervise and evaluate delegated care. This is one of 8 RN: Safe and Effective Care Environment questions on delegation and assignment, each with a full explanation on a single study page.

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